NPIMap

Organization Active NPI

Support Staff, Inc

  • Home Health Agency
  • Henderson, NC
National Provider Identifier
1881898310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6601524 Issued in NC
Legal business name
SUPPORT STAFF, INC
Practice address
506 S Chestnut St
Henderson, NC 27536-4103
Phone
(252) 433-8300
Fax
(252) 436-2555
NPI assigned
Jun 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carley Yvone Jegbadai, RN, BSN
Title
Administrator
Phone
(919) 790-1953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6601524 NC Primary

Addresses

Primary practice location

506 S Chestnut St
Henderson, NC 27536-4103

Mailing address

506 S Chestnut St
Henderson, NC 27536-4103
Phone (252) 433-8300

National Provider Directory

National Provider Directory
Tax ID family
Support Staff Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881898310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S CHESTNUT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364103",
            "telephone_number": "252-433-8300",
            "fax_number": "252-436-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S CHESTNUT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364103",
            "telephone_number": "252-433-8300",
            "fax_number": "252-436-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT STAFF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEGBADAI",
        "authorized_official_first_name": "CARLEY",
        "authorized_official_middle_name": "YVONE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-790-1953",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "6601524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.